PPS a Metolius Health company
Since 2008 · FL · TX · CA Start my launch plan
Physician Practice Specialists · A launch, documented
One launch, start to finish · an illustrative composite drawn from 6,000+ real ones

You leave the system on a Tuesday.

An employed provider with a non-compete, no panel you can take with you, and an income gap to cross before the first payer pays. This is what a practice launch looks like when a specialist runs the file. Follow the 118 days.

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The next launch is yours

Your Day 1 is a Tuesday away.

Tell us your specialty, your states, and your target go-live date. We'll map your own 118 days, and start filing, usually before your entity paperwork is even dry.

Day 0Your file · intake slip

A real specialist reviews this, not a bot. We answer the phone.

No long-term lock-in to start · U.S.-based teams · Florida · Texas · California
Day 1Chapter one

The filing

You sign the engagement letter between clinic sessions at the hospital you are leaving. That same afternoon your PPS specialist, who will own this file for the next four months, opens it: entity, EIN, group NPI, all sequenced on one page. By Friday the PLLC is filed with the state and the group NPI requested. You did neither. You read a two-line note saying both were done, and went back to clinic.

Exhibit AEntity filing · receipt
State Corporations Division
ENTITYCEDAR PARK INTERNAL MEDICINE PLLC
TYPEDOMESTIC PLLC
FILE NO.L-26-004417
FILEDDAY 4 · 11:02 AM
GROUP NPI (NPI-2)REQUESTED, SAME DAY
PREPARED BY: PPS CREDENTIALING LEADDETAILS ILLUSTRATIVE
Filed
Day 12Chapter two

Licensing, in parallel

Nothing waits for anything else. While the entity ink dries, your specialist runs the licensing lane: the license verification is ordered, the DEA registration moves to the new address, the state and local registrations are filed. Every line on the slip carries a date and an owner, and the owner is never you. You are still seeing a full schedule at the job you are leaving. That is the point.

Exhibit BLicensing tracker · slip
Licensing Lane: Worked Daily
MEDICAL LICENSEVERIFIED · DAY 9
DEA REGISTRATIONADDRESS MOVED · DAY 11
STATE REGISTRATIONSFILED · DAY 12
NEXT FOLLOW-UPDAY 19 · ON CALENDAR
OWNER: PPS CREDENTIALING LEADDETAILS ILLUSTRATIVE
In motion
Day 34Chapter three

The attestation

One profile feeds every payer, so your specialist builds it once and builds it clean: CV, work history, malpractice certificate, the documents gathered in week one. Your part is a single attestation, signed on your phone between patients. The same week, applications go out to all fourteen payers at once, not one at a time. That single habit is most of the difference between a launch that keeps moving and one that drags for most of a year.

Exhibit CCAQH attestation · receipt
Attestation Accepted
PROFILECAQH · BUILT BY PPS
SIGNEDDAY 34 · 2:16 PM
DOCUMENTSCOMPLETE · NO GAPS
APPLICATIONS QUEUED14 PAYERS · SAME WEEK
FILED BY: PPS CREDENTIALING LEADDETAILS ILLUSTRATIVE
Attested
Day 61Chapter four

The first yes

Medicare answers first. The approval lands in your specialist’s morning queue on a Thursday; you get the call before lunch. It cleared on first pass, as 98% of PPS applications do, and the effective date is set. Thirteen files are still in review, each with a next-follow-up date your specialist works, not watches. You have given your notice. The far edge of the income gap is now a date on paper.

Exhibit DPayer notice · enrollment
Enrollment Approved
PAYERMEDICARE PART B
DISPOSITIONAPPROVED, FIRST PASS
EFFECTIVE DATESET · DAY 61
REMAINING IN REVIEW13 FILES · ALL DATED
WORKED BY: PPS CREDENTIALING LEADDETAILS ILLUSTRATIVE
Approved
Day 90Chapter five

Doors open

The practice opens on a Monday with twelve patients on the schedule. The EHR and clearinghouse were wired in week nine, before the doors, not after, so the first visit’s claim is scrubbed and out the same night. You spend opening day with patients. Your specialist spends it the way they have spent the last ninety: working the file.

Exhibit EOpening day · schedule
Schedule: Day 90 · Monday
8:00NEW PATIENT · ESTABLISH CARE
8:40NEW PATIENT · ESTABLISH CARE
9:20ANNUAL PHYSICAL
10:00NEW PATIENT · TRANSFER OF CARE
BOOKED12 · DAY ONE
CLAIMS OUT: SAME NIGHT · SCRUBBEDDETAILS ILLUSTRATIVE
Doors open
Day 118Chapter six

The first remittance

It is a Tuesday again. The first remittance posts: the opening-week claims, paid clean on first pass, no adjustments. One hundred and eighteen days from engagement letter to money moving into the practice's own account, and every one of those days is in this file: dated, stamped, owned by someone whose job was to move it.

"Marisa has been an absolute superstar for our PT clinic credentialing. In Michigan insurance is very complicated and she navigated all of those steps perfectly and stood up for us when one of the insurance companies filled out information incorrectly on their end."
Justin Price · Google review
Exhibit FRemittance · posted
First Remittance Posted
PAYERMEDICARE PART B
BATCHOPENING WEEK · ALL CLAIMS
DISPOSITIONPAID · CLEAN · FIRST PASS
ADJUSTMENTSNONE
POSTEDDAY 118, TUESDAY
RCM: PPS · U.S.-BASED TEAMDETAILS ILLUSTRATIVE
Paid

This walkthrough is an illustrative composite of PPS launches; the practice name is illustrative, and dates and details vary by state and specialty. Timelines vary widely and we do not quote a fixed one: credentialing commonly runs 45 to 90 days with commercial payers, and contracting can add months where a panel is closed or terms have to be negotiated. No launch is promised faster than the payers actually move.

Track record

Eighteen years. Fifty states. The record behind the story.

Founded in 2008, Physician Practice Specialists has built a national operation around one number that matters most to a new practice: time to first clean payment.

2008
Founded · roughly 18 years serving independent providers
100,000+
Credentialing applications filed and tracked to effective
6,000+
Practices launched across all 50 states
4.5★
Average across 196 genuine Google Business reviews
98% first-pass credentialing 96% RCM clean-claim rate 30+ specialties U.S.-based offices · FL · TX · CA ★★★★½ · 196 Google reviews
From one story to your file

Every launch gets this file.

The 118 days you just read are not a highlight reel. They're the standard structure of a PPS engagement. Three service lanes, one file, one named specialist accountable for all of it.

Lane one

Practice Startup

Entity, EIN and NPI-2, fee schedules and contracting, EHR and clearinghouse, sequenced so credentialing is already moving long before your doors open, not started after them.

6,000+independent practices launched since 2008
Lane two

Credentialing

CAQH, PECOS, commercial and government payers, group rosters and re-attestation, every application filed together and worked to effective.

98%first-pass rate across 100,000+ applications
Lane three

Revenue Cycle

Coding review, claims, denials worked to resolution, AR follow-up, run by U.S.-based teams from the first claim onward.

96%clean-claim rate across PPS-managed revenue cycle
Open my file
45–90days to credential · then contracting

The honest number, told straight.

Credentialing a provider commonly runs 45 to 90 days with commercial payers. Contracting — the executed agreement and a live effective date — is the half nobody can schedule: a closed panel, an appeal against it, or terms that have to be negotiated can add months, and it moves differently in every state. Anyone quoting you one flat number is quoting a sales figure. Ask them to be paid only when your effective dates actually land, and watch how fast the number changes. We will not promise you faster payers. We promise you a worked file and a straight answer every week.

Software vs. service

Credentialing software hands you a login. We hand it to a specialist.

Platforms give you a dashboard and a to-do list, and the to-do list is yours. PPS gives you people who do the work: 100,000+ applications, 6,000+ practices, one accountable team, since 2008. You never learn the paperwork. That is the product.

The hands on the file

The people who work your file.

Every PPS engagement is run by named specialists in our Florida, Texas, and California offices. The same people, Day 1 to remittance. The specialist in that walkthrough has a real counterpart on every launch.

Lindsay Pauly
VP of Service Delivery
Tonya Barry
Onboarding Manager
Lynn Cotellese
Onboarding Trainer, Credentialing Specialist
Marisa Martell
Credentialing Manager
Janelle Stradwick
Credentialing Specialist
Trisha Oliba
Credentialing Manager & Consultant

Your named specialist is introduced at onboarding and stays with your file start to finish.

Get my specialist
Meet April · AI practice advisor

Ask April. Then a real person takes it.

Ask anything about your launch, credentialing, or billing: a straight answer in seconds, no form. When you're ready, April hands you to the PPS specialist who'll actually do the work.

"What does my Day 1 look like, in my state and specialty?"
"Which payers take longest for internal medicine?"
Escalates real decisions to a human specialist. Never guesses.
Hand me to a specialist
Ask April
Ask me anything about credentialing, opening a practice, or billing. I can’t see an account from this page, so for anything about your own file a specialist is the right call.
April drafts · a named specialist owns your file